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N � m .. LANCING STATEMENT n n >TRUCTIONS (front and back) CAREFULLY OR =a n z PHONE OF CONTACT AT FILER [optional] FIRST NAME n va C=) 077 - KNOWLEDGMENT TO: (Name and Addre: wrr.rrr� CURITY FIRST BANK B AVENUE F. r1) BOX 10 _jZAD, NE 69130 p la. ORGANIZATION'S NAME n n M c z M> OR =a n z 1b. INDIVIDUAL'S LAST NAME FIRST NAME n va C=) ORR KENT C r1) THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY !Q r -50 1. DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name Ila or 1b) - do not abbreviate or combine names la. ORGANIZATION'S NAME rn OR 1b. INDIVIDUAL'S LAST NAME FIRST NAME n va C=) ORR KENT C r1) 1c. MAILING ADDRESS CITY 1 POSTAL CODE rt 1 403 EAST HALL STREET GRAND ISLAND NE 68801 WG td. TAX ID #: SSN OR EIN Cl 1 r1 505.82.6615 DEBTOR ❑ NONE 2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) - do not abbreviate or combine names 2a. ORGANIZATION'S NAME rT CD a Fn 2b. INDIVIDUAL'S LAST NAME FIRST NAME CY) SUFFIX Cn DIANNA L A n �.+ CC� STATE C.J � � 2 GRAND ISLAND NE rs O THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY !Q r -50 1. DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name Ila or 1b) - do not abbreviate or combine names la. ORGANIZATION'S NAME OR 1b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX ORR KENT C 1c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 403 EAST HALL STREET GRAND ISLAND NE 68801 td. TAX ID #: SSN OR EIN ADO'L INFO RE 1e, TYPE OF ORGANIZATION 1f. JURISDICTION OF ORGANIZATION lg. ORGANIZATIONAL ID #, if any rG ORGANIZATION I 505.82.6615 DEBTOR ❑ NONE 2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) - do not abbreviate or combine names 2a. ORGANIZATION'S NAME OR 2b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX ORR DIANNA L 2c. MAILING ADDRESS CITY STATE COUNTRY 403 EAST HALL STREET GRAND ISLAND NE jPosTALCODE 68801 2d. TAX ID #: SSN OR EIN ADD'L INFO RE 12.. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION 2g. ORGANIZATIONAL ID #, if any 507.17.9765 ORGANIZATION I ❑ DEBTOR NONE 3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S /P) -insert only one secured party name 13a or 3b) 3a. ORGANIZATION'S NAME OR SECURITY FIRST BANK 3b. INDIVIDUAL'S LAST NAME I FIRST NAME MIDDLE NAME ISUFFIX 3c, MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY — 818 AVENUE F. I COZAD NE 69130 4. This FINANCING STATEMENT covers the fallowing collateral: Leasehold Improvements located on Lot Number 20 having a lake -front footage of seventy -five feet situated on the west side of the west portion of Kuester Lake located in the East Half of the Southwest Quarter (E112SW114) of Section 13, Township 11 North, Range 9, West of the 6th P.M., in Hall County, Nebraska. See attached addendum 5. ALTERNATIVE DESIGNATION lit applicable]: ❑ LESSEE /LESSOR ❑ CONSIGNEE /CONSIGNOR ❑ BAILEE /BAILOR ❑ SELLER /BUYER ❑ AG. LIEN ❑ NON -UCC FILING 6. This FINANCING STATEMENT is to be filed [for record) (or recorded) in the REAL 7. Check to REQUEST SEARCH REPORT((.) on Dabtorls) ❑ All Debtors El Debtor 1 L1 Debtor 2 ® ESTATE RECORDS. Attach Addendum [it applicable) [ADDITIONAL FEE] to tional] OPTIONAL FILER REFERENCE DATA Bankers Systems, Inc., St. Cloud, MN Form UCCA -LAZ 5/30/2001 FILING OFFICE COPY -- NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 07/29/98)